Category: ceus

Review: Sport Specialization at an Early Age Can Increase Injury Risk

Parents and coaches need to be educated on the risks and signs of overuse injuries common in children who specialize in a single sport at a young age, say authors of a recent research review published in the American Journal of Sports Medicine. Surgery, they concur, should not be the first-line treatment for such injuries.

An increasing number of children are focusing on 1 sport early, often because parents and coaches are enticed by the possibility of scholarships and professional participation, “increasing emphasis on sports accomplishment,” and perceived value of elite competition, authors note. But the evidence, say authors, suggests that children who wait until age 12 or older to specialize in 1 sport or begin intense training reach higher levels of athletic achievement than those who specialize at a younger age.

In general, say authors, young athletes’ “underdeveloped musculature” and still-growing bones make them prone to overuse injuries such as rotator cuff tendinitis, shoulder instability, humeral epiphysiolysis, knee and elbow ligament injuries, hip impingement, and stress fractures, among others. The strain to a developing body also may increase their risk of injury as adults.

Full story at APTA

FLEX CEUs: New CEU Courses


Rett syndrome (RTT) is a rare disease but still one of the most abundant causes for intellectual disability in females.  The goals of this CEU course are to explore the known changes in metabolite levels, gene expression, and biological pathways in RTT, as well as examine the developmental skills in classic RTT vs. atypical RTT. This course is based on an articles by BioMed Central Ltd.


Difficulties in walking of Diabetes Neuropathy (DN) patients results in higher risk of falling and injuries.  The goal of this CEU course is to investigate the recruitment of Task-Oriented (TO) motor training to determine influences on the gait characteristics of DN patients as an alternative to the traditional gait training.  This course is based on an article by BioMed Central Ltd.

Free Continuing Education for Life! 

Did you know that we have a program available that gives you free continuing education for life? If this sounds like something you’re interested in, just visit to get all the details.

For more on these new courses and many more, visit Flex CEUs courses page

Analysis: Exercise, Psychological Treatment Outperforms Drug-Based Approaches for Cancer-Related Fatigue

Authors of a new meta-analysis say there’s little doubt that exercise and psychological interventions, used alone or in combination, are superior to pharmacological approaches in the treatment of cancer-related fatigue (CRF). But evidence pinpointing just what kind of exercise, the specific psychological approach, and the right combination of the 2 is much harder to come by.

The analysis, originally published in JAMA Oncology but recently released for public access by the US Department of Health and Human Services, evaluated 113 studies involving 11,525 participants in research that evaluated the effectiveness of treatment approaches to CRF. Authors of the JAMA report limited their review to what they described as the 4 most common approaches: exercise, psychological interventions, a combination of exercise and psychological interventions, and pharmacologic interventions. The studies, all of which authors say were of “good quality,” were conducted between 1999 and 2016.

Full story at APTA

Fibromyalgia Syndrome: The Elephant in the Room?

What is your immediate response to the word: fibromyalgia?

Perhaps there’s a subconscious bias? Leaning for, against, or on the fence, regards this divisive condition.

Throughout my time as a healthcare professional I’ve seen a clear divide in opinions on Fibromyalgia Syndrome (FMS); both from diagnosed patients and clinicians. Receiving a formal diagnosis can take a long time (Macfarlane et al., 2016) and often sufferers are bounced to and from specialities, as the intricacies of their symptoms don’t quite fit into the linear moulds a healthcare system would possibly find easier to manage.

Full story at

Flex CEUs: New Courses


Work-related symptoms in the neck and shoulders are common among occupational computer users and other sedentary occupations.  The goals of this CEU course are to understand the impact of neck pain and the strategies office workers use to manage their pain, and to investigate the effect of workplace neck / shoulder strength training on neck / shoulder pain and headache among office workers.


Plantar fasciitis is the most common cause of heal pain and many treatment options are available.  This CEU course provides an overview on the physical and medical definitions of shock waves, as well as gives a detailed assessment of the quality and significance of studies on extracorporeal shock wave therapy (ESWT) in patients with plantar fasciopathy (PF).

For more on these new courses and many more, visit Flex CEUs

Perceiving oneself as less physically active than peers is linked to a shorter lifespan

Would you say that you are physically more active, less active, or about equally active as other people your age?

Your answer might be linked to your risk of premature death decades from now — no matter how physically active you actually are, according to research by Stanford scholars Octavia Zahrt and Alia Crum.

The research, appearing July 20 in Health Psychology, finds that people who think they are less active than others in a similar age bracket die younger than those who believe they are more active — even if their actual activity levels are similar.

Full story at Science Daily

Final Inpatient Payment Rule Increases ACH Payments by $2.4 Billion, Cuts LTCH Payments by $110 million

Acute care hospitals (ACHs) will receive a $2.4 billion increase in payment rates in 2018 and see a relaxation in some reporting requirements related to electronic health records (EHRs) under the final prospective payment system (PPS) rule issued by the Centers for Medicare and Medicaid Services (CMS) on August 2. The long-term care hospital (LTCH) situation isn’t as positive, however, with a projected 2.4% cut on the books for fiscal year (FY) 2018.

The inpatient prospective payment system (IPPS) final rule (CMS fact sheet here) covers a range of areas related to how ACHs and LTCHs will operate in relation to Medicare and Medicaid beneficiaries.

Full story at APTA

Letter Helps PTs Send Unified Message to CMS on 2018 Fee Schedule, More Broad Medicare Changes

The US Centers for Medicare and Medicaid (CMS) is looking for comments on the proposed 2018 Medicare physician fee schedule—and on Medicare as a whole. Now APTA is making it easy to seize the opportunity for the profession to speak with a unified voice.

Just added to the APTA website: a template letter to CMS that covers both the proposed fee schedule and more general Medicare issues. The letter supports the CMS decision to make no changes to current procedural terminology (CPT) codes that were identified as possibly “misvalued,” and recommends that the agency do more to increase patient access to physical therapist (PT) services, particularly in the areas of prevention, preoperative rehabilitation, and pain management.

Full story at APTA

Seniors’ well-being may depend more on psychological factors than physical ones

Aging-induced physical ailments are not the primary source of lower quality of life and decreased well-being among older men and women, new research suggests. Rather, it is psychosocial factors that have the highest influence, according to the new findings.

The study, which is published in the journal BMC Geriatrics, was carried out by scientists from the Helmholtz Zentrum München and the Technical University of Munich (TUM), both in Germany.

The team was led by Prof. Karl-Heinz Ladwig, head of the Mental Health Research Group at the Institute of Epidemiology II at Helmholtz Zentrum München, and a professor of psychosomatic medicine at the TUM University Hospital.

Full story of psychological factors in senior’s well-being at Medical News Today

New guideline on pelvic girdle pain during pregnancy

Pelvic girdle pain (PGP) is a common condition that causes pain and physical impairment, most frequently during the antepartum (before delivery) period. A new guideline for evidence-based physical therapy practice for PGP during pregnancy appears in the Journal of Women’s Health Physical Therapy, official journal of the Section on Women’s Health (SOWH) of the American Physical Therapy Association.

Created by the authors for the SOWH and Orthopedic Section of the APTA, the new document presents a clinical practice guideline for physical therapy management for PGP in the antepartum population. The lead author is Susan C. Clinton, PT, DScPT, COMT, OCS, WCS, FAAOMPT, of Embody Physiotherapy & Wellness, LLC, Sewickley, Pa.

Full story on the new guidelines for PGP at Medical Xpress